Individual
FORREST GOWEN REDWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
14115 SE DIVISION ST, PORTLAND, OR 97236-2628
(503) 841-6633
Mailing address
14115 SE DIVISION ST, PORTLAND, OR 97236-2628
(503) 841-6633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6127
OR
Other
Enumeration date
02/24/2021
Last updated
10/12/2021
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